AB 1642 – California

Status: Enacted
Year Introduced: 2019
Link: https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1642

Medi-Cal: managed care plans – This bill would require a Medi-Cal managed care plan to provide to the department additional information in its request for the alternative access standards, including a description of the reasons justifying the alternative access standards, and to demonstrate to the department how the Medi-Cal managed care plan arranged for the delivery of Medi-Cal covered services to Medi-Cal enrollees, such as through the use of Medi-Cal covered transportation. The bill would require the department to evaluate, as part of its review and approval of an alternative access standard, if the resulting time and distance is reasonable to expect a beneficiary to travel to receive care. The bill would require a Medi-Cal managed care plan that has received approval from the department to utilize an alternative access standard to assist an enrollee who would travel farther than the established time and distance standards in obtaining an appointment with an appropriate provider within established appointment time and distance standards, to arrange for Medi-Cal covered transportation for the enrollee, as determined by the department, and to inform affected members of the approved alternative access standards. This bill would require the information compiled by the EQRO to include the extent to which each Medi-Cal managed care plan uses clinically appropriate telecommunications technology to meet established time and distance standards.


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